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Published on: February 16, 2011
Bundling Justice: Medicaid's Support for Housing
1Mary Crossley, J.D., is a Professor of Law at the University of Pittsburgh School of Law. Her research has focused on the law's response to instances of inequality in health care financing and delivery, particularly with respect to persons with disabilities.
Summary
Medicaid may need to cover supportive housing for homeless individuals. This article examines current restrictions and argues for equitable treatment compared to nursing home residents.
Area of Science:
- Health policy
- Social determinants of health
- Healthcare economics
Background:
- Medicaid is a crucial health insurance program in the United States.
- Homelessness is a significant public health issue with complex needs.
- Current Medicaid policies have limitations on housing support.
Purpose of the Study:
- To explore the question of whether Medicaid should fund supportive housing for homeless populations.
- To analyze the ethical and justice-based arguments for covering supportive housing.
- To compare the treatment of Medicaid recipients in nursing homes versus those needing supportive housing.
Main Methods:
- Review of current Medicaid regulations regarding housing expenditures.
- Ethical analysis based on principles of justice and equity.
- Comparative analysis of healthcare access and support for different Medicaid recipient groups.
Main Results:
- Current state options for using Medicaid funds for housing are restricted.
- A justice-based argument can be made for similar treatment of nursing home and supportive housing recipients.
- Potential for improved health outcomes and cost savings with supportive housing.
Conclusions:
- Medicaid coverage for supportive housing aligns with principles of health equity.
- Policy changes are needed to remove current barriers to housing support.
- Equitable treatment necessitates considering supportive housing as a necessary service for eligible individuals.
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